Individual
DR. MARK LUSSIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 HOSPITAL LOOP, FAIRCHILD AFB, WA 99011-8704
(509) 247-5661
Mailing address
701 HOSPITAL LOOP, FAIRCHILD AFB, WA 99011-8704
(509) 247-5661
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6615
NE
Other
Enumeration date
07/11/2011
Last updated
02/04/2022
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